Organization · Type 2 NPI
Executive Regenerative Health
Clinic/Center · Rogersville, TN
NPI number
1437040706
Active
Practice location
3815 Highway 66 S Ste 1
Rogersville, TN 37857-5197
Mailing address
2052 Memory Ln
Porterville, CA 93257-6298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
Other clinic/center providers in Rogersville
About NPI 1437040706
Executive Regenerative Health's National Provider Identifier is 1437040706, issued on Jul 14, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Rogersville, TN. The record was last updated on Jul 14, 2025.